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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(01): 187-189
DOI: 10.4103/ajns.AJNS_228_19
Case Report

Spontaneous cerebral spinal fluid rhinorrhea with meningocele secondary to congenital foramen rotundum defect: A case report and review of literature

Kyle Scott
Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida
,
Daryoush Tavanaiepour
1   Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida
,
Kourosh Tavanaiepour
1   Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida
,
Akaber Halawi
2   Department of Otolaryngology, College of Medicine, University of Florida, Jacksonville, Florida
,
Dinesh Rao
3   Department of Radiology, College of Medicine, University of Florida, Jacksonville, Florida
,
Gazanfar Rahmathulla
1   Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida
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Spontaneous cerebrospinal fluid (CSF) rhinorrhea is a rare occurrence. We present a case of spontaneous CSF rhinorrhea in a 57-year-old patient secondary to a sphenoid osseous defect involving the foramen rotundum and maxillary nerve with an associated arachnoid cyst and meningocele compressing the maxillary nerve. The location of the defect made correction amenable to an open skull-based approach. To the best of our knowledge, this is the first reported case of a spontaneous meningocele herniating into the sphenoid osseous defect through the medial aspect of the foramen rotundum. Early detection of these defects, open or endoscopic approaches and definitive treatment by closing the defect can result in excellent outcomes.

Key-words:

Arachnoid cyst - cerebral spinal fluid leak - meningocele - skull base defect - spontaneous rhinorrhea

Financial support and sponsorship

Nil.




Publication History

Received: 16 July 2019

Accepted: 18 September 2019

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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